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Percutaneous Transluminal Renal Angioplasty in Renovascular Hypertension Due to Atheroma or Fibromuscular Dysplasia
Abstract
We attempted percutaneous transluminal renal angioplasty in 89 patients with hypertension and renal-artery stenosis (including 51 with atheromatous and 31 with fibromuscular stenoses) who were then followed for an average of 16 months (range, 4 to 40). Angioplasty was technically successful in 87 per cent of the fibromuscular stenoses and in 57 per cent of the unilateral atheromatous stenoses but in only 10 per cent of the bilateral atheromatous stenoses. After successful angioplasty, blood pressure was reduced to normal or improved in 93 per cent of the patients with fibromuscular dysplasia and in 84 per cent of the patients with atheromatous disease. Angiographic follow-up at an average of 21.8 months in 15 patients showed persistent relief of the stenoses and a 12 per cent average increase in kidney size. Renal angioplasty is effective for long-term control of hypertension in patients with renal-artery stenosis due to fibromuscular dysplasia or unilateral non-ostial atheroma.
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Cited by
Hirsch, A. T., Haskal, Z. J., Hertzer, N. R., Bakal, C. W., Creager, M. A., Halperin, J. L., Hiratzka, L. F., Murphy, W. R. C., Olin, J. W., Puschett, J. B., et al. (2006) · Circulation · doi:10.1161/circulationaha.106.174526 · Cited by 3,708
ESC Guidelines on the diagnosis and treatment of peripheral artery diseases
Endorsed by: the European Stroke Organisation (ESO), Authors/Task Force Members, Tendera, M., Aboyans, V., Bartelink, M.-L., Baumgartner, I., Clément, D., Collet, J.-P., Cremonesi, A., De Carlo, M., et al. (2011) · European Heart Journal · doi:10.1093/eurheartj/ehr211 · Cited by 1,506
Slovut, D. P., & Olin, J. W. (2004) · New England Journal of Medicine · doi:10.1056/nejmra032393 · Cited by 744
The United States Registry for Fibromuscular Dysplasia: Results in the First 447 Patients
Olin, J. W., Froehlich, J., Gu, X., Bacharach, J. M., Eagle, K., Gray, B. H., Jaff, M. R., Kim, E. S. H., Mace, P., Matsumoto, A. H., et al. (2012) · Circulation · doi:10.1161/circulationaha.112.091223 · Cited by 560
Blum, U., Krumme, B., Flügel, P., Gabelmann, A., Lehnert, T., Buitrago-Tellez, C., Schollmeyer, P., & Langer, M. (1997) · New England Journal of Medicine · doi:10.1056/nejm199702133360702 · Cited by 508
Metadata
- Authors
- Sos, T. A., Pickering, T. G., Sniderman, K., Saddekni, S., Case, D. B., Silane, M. F., Vaughan, E. D., & Laragh, J. H.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1983-08-04
- Volume
- 309
- Issue
- 5
- Pages
- 274-279
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2002128845
- Cited by
- 438
- References
- 0
- FWCI
- 33.60
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Percutaneous Transluminal Renal Angioplasty in Renovascular Hypertension Due to Atheroma or Fibromuscular Dysplasia. https://app.cochat.ai/papers/10.1056/nejm198308043090504
- The paper
- Sos, T. A., Pickering, T. G., Sniderman, K., Saddekni, S., Case, D. B., Silane, M. F., Vaughan, E. D., & Laragh, J. H. (1983). Percutaneous Transluminal Renal Angioplasty in Renovascular Hypertension Due to Atheroma or Fibromuscular Dysplasia. New England Journal of Medicine. https://doi.org/10.1056/nejm198308043090504
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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